Gary M Amundson in Syracuse - Pediatric Radiology
Gary M Amundson - NPI 1720031446
Gary M Amundson is a Pediatric Radiology in Syracuse, New York. Gary M Amundson practices all healthcare services and medical treatments related to Pediatric Radiology. The NPI Number for Gary M Amundson is 1720031446. The last update date is 2013-01-24.
Gary M Amundson's current location address is 750 E Adams St, Syracuse, New York. You can contact this provider via phone number 3164647433. The mailing address for Gary M Amundson is 750 E Adams St, Syracuse, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M Amundson |
|---|---|
| Address | 750 E Adams St, Syracuse, New York |
| Phone Number | 3164647433 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720031446 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2013-01-24 |
Provider Mailing Address Detail
| Address | 750 E Adams St |
|---|---|
| City | Syracuse |
| State | New York (NY) |
| Post Code | 132102342 |
| Phone Number | 3164647433 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Radiology |
|---|---|
| Taxonomy | 2085P0229X |
| Licence No | MD420848 |
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Definition: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the ca |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64037203 | KY | MEDICAID | |
| 565302 | KY | ANTHEM/NORTON | |
| 533040 | KY | MEDICARE | |
| 3525222000 | PASSPORT ADVANTAGE | ||
| 50019410 | PASSPORT | ||
| 96386 | SIHO | ||
| 200331670 | IN | -- | |
| 230324 | KY | HUMANA |
Post Comment/ Review Below
What is the Gary M Amundson's unique identification number?
The Gary M Amundson has been assigned the NPI (National Provider Identifier) Number 1720031446 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gary M Amundson?
The Gary M Amundson is situated at 750 E Adams St, in the city of Syracuse, state of NY, with the zip code 132102342.
What is Gary M Amundson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary M Amundson is Pediatric Radiology, and the taxonomy code that categorizes this field of expertise is 2085P0229X.
On what date did Gary M Amundson receive its 1720031446 assignment from the Centers for Medicare & Medicaid Services?
The Gary M Amundson was assigned its 1720031446 on 2006-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Gary M Amundson most recently updated?
The details pertaining to the Gary M Amundson, including its address, specialty, and other relevant information, were last refreshed on 2013-01-24.